NPI | 1265968986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX S7660) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX S7760) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2024-06-20 |