| NPI | 1265634513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2007007999) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 20020124317) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-06-25 |