NPI | 1659570034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD60048648) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI 14224) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2021-03-29 |