| NPI | 1942493614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX N7547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00951) |
| 207R00000X Internal Medicine (Licence: NC 128391) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2010-09-21 |