| NPI | 1225042138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: ID M-12406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10303) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-04-18 |