| NPI | 1508904939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 17707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00048659) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 160535) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-12-17 |