| NPI | 1144358722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD43165) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 043165) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-01-05 |