| NPI | 1073526315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN RN68116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN APN6001) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-10-01 |