NPI | 1508863432 |
---|---|
Former Name | JENNIFER BLOIS MCINNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: RI MD11338) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MA 272741) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-07-31 |