NPI | 1073615530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101246093) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA08030500) |
Enumeration Date | 2006-09-03 |
Last Update Date | 2021-06-05 |