| NPI | 1760578363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 27877) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 27877) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 27877) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-21 |