| NPI | 1700865417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A78045) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A78045) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-09 |