NPI | 1992767214 |
---|---|
Former Name | GEORGINE N. JORGENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85136) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA 95026626) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-08-23 |