NPI | 1740370261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me139323) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.30440) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: MS 21128) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NE 22847) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-05-10 |