| NPI | 1528037660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000037730) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 37730) |
| 208D00000X General Practice (Licence: TN MD0000037730) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-03-05 |