NPI | 1215965314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO MO2008013239) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO MO2008013239) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-03-07 |