NPI | 1003235235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A143997) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A143997) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2022-12-16 |