| NPI | 1508128075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A167592) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 51454) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-06-24 |