| NPI | 1285629089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD40018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262336) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2024-01-01 |