| NPI | 1578659579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME78639) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME78639) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME78639) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-09-03 |