| NPI | 1699945980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439424) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NE 24497) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2018-05-22 |