| NPI | 1548361280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 47905) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 27514) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-06-11 |