NPI | 1629076690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 200100412) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200100412) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2021-08-14 |