| NPI | 1285848408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000044925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 058924) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-01-02 |