| NPI | 1780693143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OR MD159682) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX H8835) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-11-07 |