NPI | 1477717858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N4577) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4577) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2017-01-24 |