| NPI | 1982862249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX Q0500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01068842A) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: IN 01068842A) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2022-01-27 |