| NPI | 1265419832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5205) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA 13847R) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-12-04 |