| NPI | 1952507063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 44736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005017759) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-04-04 |