| NPI | 1982861779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD.MD.60312078) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD157060) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-10-15 |