| NPI | 1134231756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 2617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 843) |
| 207Q00000X Family Medicine (Licence: TN DO2617) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-19 |