| NPI | 1588897755 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PR 18428) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 12451 I) | 
| 207R00000X Internal Medicine (Licence: PR 18428) | |
| Enumeration Date | 2009-09-03 | 
| Last Update Date | 2021-06-14 |