NPI | 1316023070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD00033750) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00033750) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-01-05 |