| NPI | 1174963920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036152455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7307) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX Q7307) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-12-01 |