| NPI | 1508911181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N7254) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0056806) |
| 207R00000X Internal Medicine (Licence: TX N7254) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-06-13 |