| NPI | 1700080470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME MD22791) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VT 042-0011684) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM MD2010-0764) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2009-01160) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101261197) | |
| 207R00000X Internal Medicine (Licence: NH 14194) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 246406) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WV 28300) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD00048406) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-12-29 |