| 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 |