NPI | 1730130006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 45362) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA md00037077) |
207R00000X Internal Medicine (Licence: WA MD00037077) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-06-15 |