| NPI | 1912953506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C53546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C53546) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD33680) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-11-18 |