| NPI | 1235405036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.36925) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 54885) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-06-19 |