| NPI | 1073596714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 043343) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: RI MD19222) |
| 207R00000X Internal Medicine (Licence: CT 043343) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-07-25 |