| NPI | 1649562919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD51432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD51432) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2015-10-07 |