| NPI | 1346291432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 36911) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 17777) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-09-04 |