| NPI | 1215147483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 43386) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TN 43386) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-09-16 |