| NPI | 1861504235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 228842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228842) |
| 207Q00000X Family Medicine (Licence: MA 228842) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-04-01 |