| NPI | 1437142122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 16158) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 10707) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2013-05-10 |