| NPI | 1285774414 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G40915)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G40915)  | 
| Enumeration Date | 2007-02-07 | 
| Last Update Date | 2014-11-03 |