| NPI | 1518952415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD152771) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA g88233) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0038623) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-10-28 |