| NPI | 1659574630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 40284) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-4234) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2012-09-20 |