| NPI | 1215320718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ND 17533) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 18442) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2025-09-24 |