| NPI | 1235135963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 43168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37091) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-12-07 |