| NPI | 1174628689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 53575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53575-20) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-21 |