| NPI | 1821023698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152492) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MD036391-E) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-08-02 |