| NPI | 1639340102 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102940)  | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A102940)  | 
| Enumeration Date | 2008-03-12 | 
| Last Update Date | 2023-06-01 |