| NPI | 1164441085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G35390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G35390) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G35390) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-07-13 |