| NPI | 1013596089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MS 904555) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 904555) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TN 904555) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 904555) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-02-03 |