NPI | 1336593573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 283295) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283295) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2020-07-20 |