| NPI | 1922066331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 03077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR T2006-010) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 03077) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-07-11 |