| NPI | 1689803405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MN 52261) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MN 104275) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-09-22 |