| NPI | 1629729710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0024183427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024183427) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0024183427) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |