| NPI | 1972611838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036104333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 27601) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-10-31 |