| NPI | 1376821793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD15479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248694) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-08-15 |