| NPI | 1144395682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 44506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 026279) |
| 208000000X Pediatrics (Licence: LA 026279) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-05-26 |