NPI | 1932163250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 8591830) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 1626162) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2021-02-23 |