| NPI | 1992818975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD028569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD028569) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN MD028569) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-11-02 |