| NPI | 1548202815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD019348) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 19348) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-09-15 |