| NPI | 1053375840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 34559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220496) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 220496) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2025-06-30 |