| NPI | 1972658979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2017026080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017026080) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-03-15 |