| NPI | 1134412794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD196628) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 52984) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-02-21 |