| NPI | 1962804096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 274924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274924) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-04-01 |