NPI | 1124268834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2018-00097) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 245222) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI MD-17429) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2018-07-30 |