| NPI | 1003817297 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01050890A) | 
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: IN 01050890A) | 
| Enumeration Date | 2005-08-10 | 
| Last Update Date | 2022-10-27 |