| NPI | 1225267560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 047204) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 047204) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-03-29 |