| NPI | 1073702627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 64303-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46195) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2015-07-14 |