| NPI | 1629026950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000039611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD39611) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-09-30 |