| NPI | 1396183349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101262921) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MD R168308) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: VA 0101262921) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-02-15 |