NPI | 1811097967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-00713) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2012-00713) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07879400) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2023-01-24 |