| NPI | 1487711040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD51772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426515) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-03-15 |