| NPI | 1912226960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201500325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 39983) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 39983) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-08-06 |