| NPI | 1114128725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 45347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME96511) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 45347) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 45347) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-12-19 |