NPI | 1033640040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2024-02264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4246) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 4246) | |
207R00000X Internal Medicine (Licence: NC 2024-02264) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2025-09-03 |