| NPI | 1104843788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-115624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 231572) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |