NPI | 1649234568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX H4979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H4979) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX H4979) | |
Enumeration Date | 2006-04-17 |
Last Update Date | 2017-07-20 |