| NPI | 1558477729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD H85536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015070) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-09-19 |