NPI | 1124343033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 255586) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255586) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2022-07-21 |