NPI | 1790767713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 21178) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NE 21178) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-43252) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.152608) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2020039633) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: IA MD-47281) | |
207R00000X Internal Medicine (Licence: TX L5952) | |
207Q00000X Family Medicine (Licence: NE 21178) | |
207QA0505X Family Medicine, Adult Medicine (Licence: TX L5952) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2024-10-31 |