| NPI | 1063429546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TN DO 1091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN DO1091) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-12-23 |