NPI | 1962782896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A118057) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A118057) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2021-11-19 |