| NPI | 1275574949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 39167) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 39167) |
| 207R00000X Internal Medicine (Licence: TN 39167) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-09-18 |