| NPI | 1881854594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 88331) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 49295) |
| 207Q00000X Family Medicine (Licence: VA 0101248825) | |
| 207Q00000X Family Medicine (Licence: SC MD87456) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-03-28 |