| NPI | 1417111295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD17598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD17598) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2011-04-23 |