| NPI | 1992265581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL TPME5904) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.1499098) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX u5984) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036170080) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-05-07 |