NPI | 1811002454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A68182) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L5491) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2020-03865) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L5491) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A68182) | |
Enumeration Date | 2006-08-21 |
Last Update Date | 2023-06-02 |