| NPI | 1710189253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WA MD60091834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60091834) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2013-05-15 |