| NPI | 1326263880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA 428434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD428434) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-08-02 |