NPI | 1174546071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA a55006) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a55006) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-03-24 |