| NPI | 1174796742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 44864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44864) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2015-03-20 |