| NPI | 1699082776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: KS 04-20763) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO R5F40) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2013-03-12 |