| NPI | 1225215569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI #4301075965) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301075965) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-12-13 |