| NPI | 1982960852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D98208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2017-01895) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-11-22 |