| NPI | 1053525501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242828) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101242828) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2011-00137) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-06-15 |