| NPI | 1831608165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 55145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 6978) |
| 207R00000X Internal Medicine (Licence: CA 55145) | |
| 363A00000X Physician Assistant (Licence: AZ 6978) | |
| 363A00000X Physician Assistant (Licence: CA 55145) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2020-04-21 |