NPI | 1558655621 |
---|---|
Former Name | ANDREA NEDIVA WERSHOF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 261059) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261059) |
207R00000X Internal Medicine (Licence: MA 248236) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2023-08-28 |