| NPI | 1689614539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-00479) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2005-00479) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-03-26 |