| NPI | 1962595421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 73468) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 73468) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-01-19 |