| NPI | 1093909996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 16866) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16866) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2015-08-19 |