| NPI | 1700504396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD20001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD20001) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD20001) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-06-06 |