| NPI | 1689891889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000043506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088070) |
| 208000000X Pediatrics (Licence: OH 35.088070) | |
| 208000000X Pediatrics (Licence: TN MD0000043506) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-01-28 |