| NPI | 1871506212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME83771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83771) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-02-09 |