NPI | 1275606485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD472440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD472440) |
207R00000X Internal Medicine (Licence: NY 191208) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2023-03-07 |