| NPI | 1326138470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD42820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101242431) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-05-15 |