| NPI | 1619385598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60951172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60951172) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR FE184720) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-09-17 |