NPI | 1043604390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 70450) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T4663) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME140547) | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2024-03-24 |