| NPI | 1790981520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MS 20339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-1917) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-11-17 |