| NPI | 1538124193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WV 12245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 12245) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-11-05 |