| NPI | 1801950225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 41832) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 41832) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-11-02 |