| NPI | 1952544702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 61973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000048457) |
| 207R00000X Internal Medicine (Licence: WI 61973) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-08-24 |