| NPI | 1205881745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 9501092) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 9501092) |
| 208D00000X General Practice (Licence: NC 9501092) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-07-06 |