NPI | 1982824389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 238996) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 238996) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2016-03-15 |