| NPI | 1013904895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37741) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 37741) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-08-15 |