NPI | 1417049974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101238103) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101238103) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2025-08-25 |