NPI | 1235361817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TN 47460) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 47460) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2024-07-26 |