| NPI | 1992749253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN D01567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN DO01567) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-02-20 |