| NPI | 1982048047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN Md49870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202816) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2014-01-08 |