| NPI | 1649461781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 048334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048334) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 048334) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-09-03 |