| NPI | 1508999178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 12881) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD-021850) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |