| NPI | 1407141302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 52185) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-12-23 |