| NPI | 1710349329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 277599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267270) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-10-07 |