| NPI | 1407033632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 48956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048919) |
| 207R00000X Internal Medicine (Licence: GA 063405) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2020-10-15 |