| NPI | 1740233832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN APN5728) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN RN0000058238) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-08-29 |