| NPI | 1457379679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000010943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA o26413) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-07-21 |