| NPI | 1184649246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD45362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 11186) |
| 207Q00000X Family Medicine (Licence: TN MD045362) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-07-25 |