NPI | 1740211085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX S1608) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27671) |
207R00000X Internal Medicine (Licence: MA 220737) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2019-08-15 |