NPI | 1194086108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME120480) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266481) |
207R00000X Internal Medicine (Licence: FL ME120480) | |
Enumeration Date | 2012-06-06 |
Last Update Date | 2025-06-27 |