NPI | 1821234147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 71895) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102847) |
207R00000X Internal Medicine (Licence: IL 036122859) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.0995626) | |
Enumeration Date | 2008-12-17 |
Last Update Date | 2024-04-15 |