NPI | 1215165311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 48941) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 38170) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2018-04-23 |