| NPI | 1033640040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2024-02264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4246) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 4246) | |
| 207R00000X Internal Medicine (Licence: NC 2024-02264) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-09-03 |