| NPI | 1619256930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME MD20912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD20912) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2017-05-04 |