| NPI | 1396831947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR OR MD16230) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA WA MD00035607) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-11 |