| NPI | 1295028876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 59841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 59841-20) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2025-12-22 |