| NPI | 1093917486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 50336) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 24484) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-08-06 |