| NPI | 1033221817 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME MD18219) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD18219) | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2012-04-04 |