| NPI | 1821075540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 71035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 71035) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-01-31 |