NPI | 1538179098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2006-00425) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD40277) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2021-05-06 |