| NPI | 1265513436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A35506) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A35506) |
| 208D00000X General Practice (Licence: CA A35506) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |