NPI | 1275615775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0035674) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0035674) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2014-08-29 |