NPI | 1770790784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 63130) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: GA 63130) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2009-10-28 |