| NPI | 1811370596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NE 31959) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7533) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-12-15 |