| NPI | 1982617221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN RN64657) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN APN5907) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-12-10 |