| NPI | 1235123860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 40030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200400223) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-09-28 |