| NPI | 1710063441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 12603) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NH 12603) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-07-15 |