| NPI | 1760744726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO2846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO 3259) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-02-08 |