| NPI | 1922117084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD60580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12689) |
| 207R00000X Internal Medicine (Licence: MA 223006) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-03-16 |