| NPI | 1477658961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD00035429) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD12642) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-11 |