| NPI | 1841679644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD61004805) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 60973) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-06-09 |