| NPI | 1518303221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101262248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58245) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MT MED-PHYS-LIC-141959) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-07-15 |