| NPI | 1174715932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 30046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 11814) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N8696) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-08-31 |