| NPI | 1376938076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ID M14283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60973221) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-03-10 |