| NPI | 1902071640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 238675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229542) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2014-07-09 |