NPI | 1003027194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301119300) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23139) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-04-09 |