| NPI | 1215120738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301086375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301086375) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301086375) | |
| 207R00000X Internal Medicine (Licence: MI 4301086375) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-05-24 |