| NPI | 1770903882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 57503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57503) |
| 208000000X Pediatrics (Licence: TN 57503) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-02-11 |