NPI | 1407288574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A174147) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285755) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 285755) | |
Enumeration Date | 2013-07-31 |
Last Update Date | 2024-05-23 |