| NPI | 1700129384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CO 60995) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A135097) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-02-09 |