NPI | 1467584490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G38590) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G38590) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G38590) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2010-07-07 |