NPI | 1932110152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 229400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229400) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-11-11 |