| NPI | 1841671013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 272471) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264083) | 
| Enumeration Date | 2015-06-14 | 
| Last Update Date | 2019-07-02 |