| NPI | 1376504878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA G69789) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: ME 013843) |
| 207R00000X Internal Medicine (Licence: ME 013843) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2019-09-24 |