| NPI | 1518917780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NE 15496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 15496) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-06-23 |