| NPI | 1659570034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60048648) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI 14224) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-03-29 |