| NPI | 1255726469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MT MED-PHYS-LIC-89204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10094279-1205) |
| 207R00000X Internal Medicine (Licence: UT 10094279-8905) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-01-17 |