| NPI | 1316100803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 02006221A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017682) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-10-14 |