| NPI | 1417225426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AZ 22940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 22940) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2013-04-11 |