| NPI | 1710009121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A055466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 9256) |
| 207R00000X Internal Medicine (Licence: MA 155824) | |
| 207R00000X Internal Medicine (Licence: CA A055466) | |
| 207R00000X Internal Medicine (Licence: IA 30799) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 30799) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 155824) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 9256) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2022-02-11 |