NPI | 1164476388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 33717) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 33717-020) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2022-05-18 |