NPI | 1396230017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD61434671) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29228) |
207R00000X Internal Medicine (Licence: MN 65952) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 65952) | |
Enumeration Date | 2018-06-25 |
Last Update Date | 2024-01-12 |