NPI | 1255437182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NJ MA52232) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-047121-L) |
207R00000X Internal Medicine (Licence: NJ MA52232) | |
207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MD-047121-L) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2019-07-18 |