| NPI | 1689701674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 235503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235503) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-02-04 |