| NPI | 1265706865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G84328) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA G84328) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |