| NPI | 1871527382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2016-01261) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA G70002) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-04-08 |