| NPI | 1710365879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 70362) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2021038959) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-06-01 |