| NPI | 1073600102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD40541) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN MD40541) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TN MD40541) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-03-17 |