| NPI | 1447219878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156131) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101276310) |
| 2085R0001X (Licence: NM MD2012-0012) | |
| 2085R0001X (Licence: WV 21776) | |
| 2085R0001X (Licence: IN 01063079A) | |
| 208D00000X General Practice (Licence: NM MD2012-0012) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-01-23 |