| NPI | 1083626600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C137259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 37828) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-03-19 |