| NPI | 1588688998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD45236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME81394) |
| 208D00000X General Practice (Licence: TN TN45236) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-09-04 |