| NPI | 1134519663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 20A15986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286329) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-09-19 |