| NPI | 1861696056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 53794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 2432) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-11-10 |