| NPI | 1538279047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD39171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 39171) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-08-22 |