| NPI | 1932173259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-2618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E2618) |
| 207Q00000X Family Medicine (Licence: TN MD0000034409) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-08-26 |