| NPI | 1114379195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WV 29793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110727) |
| 207R00000X Internal Medicine (Licence: WV 29793) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2021-12-22 |