| NPI | 1508977299 |
|---|---|
| Former Name | JAZA MARINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 055267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055267) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-29 |