NPI | 1124285424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A106085) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106085) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2014-02-21 |