NPI | 1881993624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 76443-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269780) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2022-01-05 |