| NPI | 1710475033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0110-006156)  | 
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0110-006156)  | 
| Enumeration Date | 2018-04-23 | 
| Last Update Date | 2018-04-23 |