| NPI | 1124043062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD24536) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD24536) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-04-11 |