| NPI | 1992929624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 25790) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 25790) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 25790) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-05-05 |