| NPI | 1134527468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA OP60949791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R10401) |
| 207R00000X Internal Medicine (Licence: OR PG188401) | |
| 207R00000X Internal Medicine (Licence: WA OP60949791) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR PG188401) | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2019-07-23 |