| NPI | 1730706243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020019341) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OH 58.033272) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-05-25 |