NPI | 1104144534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD042648) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01099) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2013-01099) | |
Enumeration Date | 2010-05-10 |
Last Update Date | 2019-01-11 |