| NPI | 1760518658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 61176) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 28922) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 28922) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-11-30 |