NPI | 1982861779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD.MD.60312078) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD157060) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2012-10-15 |