| NPI | 1396181251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52536) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 2018-02631) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-03-31 |