NPI | 1356650311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA10535800) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01072745A) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MT198588) | |
207R00000X Internal Medicine (Licence: IL 125053935) | |
Enumeration Date | 2010-09-24 |
Last Update Date | 2020-01-20 |