| NPI | 1861752164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 5101019878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L2240372) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-02-24 |