| NPI | 1831364603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA A121501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233119) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-10-22 |