| NPI | 1972617686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CO 40311) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CO 40311) |
| 207R00000X Internal Medicine (Licence: CO 40311) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-08-29 |