| NPI | 1902821994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301084956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084956) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-03-09 |