| NPI | 1851333959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301114102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114102) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 10930) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-12-06 |