| NPI | 1124133525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A89961) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A89961) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A89961) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-09-24 |