| NPI | 1003113762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 63896) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21430) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2020-06-30 |