NPI | 1710393350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A155977) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A155977) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2023-05-10 |