| NPI | 1386645448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 041693) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 041693) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2009-10-21 |