| NPI | 1851773881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75316) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 236665) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-07-22 |