| NPI | 1124096136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 34822) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 034822) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-06-29 |