NPI | 1952350068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 19696) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 19696) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2011-06-22 |