| NPI | 1669413415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 0000000854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 000854) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-09-05 |