| NPI | 1487603742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO1230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GU MTL-2023-035) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2023-12-19 |