| NPI | 1447601257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 59680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 91245) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-04-22 |