| NPI | 1043695935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 064046) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 064046) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2020-06-10 |