| NPI | 1053971846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2023033166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019018194) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-09-19 |