NPI | 1528620473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 25917) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 25917) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2024-02-02 |