NPI | 1689803686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C176159) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 27012) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 56941) | |
207Q00000X Family Medicine (Licence: NE 27012) | |
Enumeration Date | 2009-07-10 |
Last Update Date | 2024-03-01 |