| NPI | 1720187156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 64677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD19938) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-27 |