| NPI | 1366763435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000050313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 50313) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2023-09-13 |