| NPI | 1235361817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 47460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 47460) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2024-07-26 |