| NPI | 1780164269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PR 23207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 15612-E) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2025-03-10 |