| NPI | 1588690168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TN 36632) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 36632) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-10-12 |