NPI | 1376022830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WV 32006) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MT222306) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2024-10-09 |