| NPI | 1790816700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 38433) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101231678) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-12-17 |