| NPI | 1114135522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 201100395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT011591) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-09-20 |