| NPI | 1043540925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 17802) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 17802) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2016-12-21 |