| NPI | 1730319633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 15509) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ZZ none) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 73213) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2015-01-21 |