| NPI | 1386076859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2017-00662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2017-00662) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-07-15 |