| NPI | 1336359140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301093140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000041709) |
| 208000000X Pediatrics (Licence: TN MD0000041709) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-03-13 |