NPI | 1306829833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 79472) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79472) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2014-06-04 |