| NPI | 1619005055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 70310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 70310) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 050604) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TN 70310) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-11-21 |