NPI | 1083031355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN pending) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 56107) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2021-06-30 |