| NPI | 1861676967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL MD.32573) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 32573) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 049536) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-06-28 |