| NPI | 1740211085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX S1608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27671) |
| 207R00000X Internal Medicine (Licence: MA 220737) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-08-15 |