| NPI | 1902872542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD039849E) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.168131) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM MD2024-0340) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 64657) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-04-04 |