| NPI | 1831485333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 63827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059160) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2015-06-16 |