| NPI | 1730444746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 15640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 29711) |
| 207R00000X Internal Medicine (Licence: OK 15640) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2015-02-13 |