| NPI | 1679736631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01085) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2008-01085) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-12-26 |