NPI | 1215275789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 244669) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 244669) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |