NPI | 1619499597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME155734) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 33029-R) |
207Q00000X Family Medicine (Licence: PR 21708) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2024-01-19 |