| NPI | 1962656322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 48813) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48813) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2022-11-02 |