NPI | 1790718120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D25643) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D25643) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-07-13 |