NPI | 1215341722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 274210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274210) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 259603) | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2018-06-15 |