NPI | 1396831947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR OR MD16230) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA WA MD00035607) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-11 |