| NPI | 1942399209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56669) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2006027157) |
| 208M00000X Hospitalist (Licence: TN 56669) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-12-06 |