| NPI | 1700947173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 52673) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.117796) | 
| 207R00000X Internal Medicine (Licence: MN 52673) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.117796) | |
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2019-03-22 |