| NPI | 1780641811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 04-24629) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO R7P46) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-09-20 |