| NPI | 1710306204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 228367) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 228367) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-02-26 |