| NPI | 1700222114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 54924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54924) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2018-12-10 |