| NPI | 1447393798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 35582) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 35582) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-09-01 |