| NPI | 1659710531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 53920) |
| 207Q00000X Family Medicine (Licence: TN 53920) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-08-04 |