NPI | 1801888938 |
---|---|
Former Name | MARY C WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 66125) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301049261) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2023-10-27 |