| NPI | 1467452425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000051271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101047020) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2016-04-14 |