| NPI | 1609947944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC SC 905) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-03-11 |