NPI | 1023300019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A114172) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A1314172) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2023-11-27 |