| NPI | 1205809522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN D0001012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN DO 001012) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-05-22 |