| NPI | 1447388186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 42334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD 42334) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2014-02-11 |