| NPI | 1114311966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2018-02448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02448) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2019-08-20 |