NPI | 1285684720 |
---|---|
Former Name | VIVIAN SCHOEPPNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 290631) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 044134) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 044134) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2022-02-17 |