| NPI | 1780911586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C162153) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C162153) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2019-09-04 |