| NPI | 1104878875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ 32765) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WY 10240A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-10-04 |