| NPI | 1245597442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 17553) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 5366) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-08-15 |