| NPI | 1720054448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 36320) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: MO 36320) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 36320) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-06-21 |