| NPI | 1861492373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 37992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37992) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2025-08-04 |