| NPI | 1326013764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 11970) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD074189L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-07-21 |