| NPI | 1518258367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60657729) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD196841) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-01-19 |