| NPI | 1922205517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 2011-01006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7416) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-05-01 |