| NPI | 1366646820 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD13173)  | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 232516)  | 
| Enumeration Date | 2007-06-11 | 
| Last Update Date | 2020-04-10 |