| NPI | 1306881362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 74255) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 055063) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-05-21 |