NPI | 1093167611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA NPI) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 299704) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2024-01-06 |