NPI | 1033643473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD472854) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD472854) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2021-08-19 |