| NPI | 1316109531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD48804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E6497) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2014-01-16 |