| NPI | 1386673747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N7166) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD12113) |
| 207R00000X Internal Medicine (Licence: TX N7166) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-06-13 |