NPI | 1821450552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 309250-01) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD469518) |
207R00000X Internal Medicine (Licence: PA MT210675) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MT210675) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-07-02 |