| NPI | 1629486089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60881246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60658803) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-02-23 |