| NPI | 1780261867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN F01210069) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN F01210069) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |