| NPI | 1972276608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 3015628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI CLP05469) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-12-30 |