NPI | 1801897103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A408630) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A408630) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2010-03-04 |