| NPI | 1972699122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301093169) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 205705) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301093169) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-02-05 |