| NPI | 1598225492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 68125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0094913) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-08-16 |