| NPI | 1336239987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101056286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101056286) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-06-01 |