NPI | 1881776060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 045919) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A95944) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 36112184) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2023-03-07 |