| NPI | 1871783860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60986887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 14455) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: HI 14455) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-03-30 |