NPI | 1003298779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME145367) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293514) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME145367) | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2025-06-09 |