| NPI | 1588871875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 22992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 33055569) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35-055569) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-01-21 |