| NPI | 1154398105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD37199) |
| 207R00000X Internal Medicine (Licence: TN MD37199) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-01-09 |