| NPI | 1750375861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 36466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36466) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2017-05-31 |