| NPI | 1700812716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX H6438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H6438) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-10-06 |