NPI | 1295115145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 57664) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 57664) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2019-11-25 |