| NPI | 1457317224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 49146) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-2722) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2014-04-16 |