| NPI | 1619944006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000042304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 26823) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: AL 26823) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2011-08-04 |