| NPI | 1659487361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 67353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 00018293) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-06-19 |