| NPI | 1093753998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD49090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2008-0195) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-01-29 |