NPI | 1295005049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD446353) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MD446353) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2020-03-19 |