| NPI | 1205068525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO 1167) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: AL DO 1167) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: AL DO 1167) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL DO 1167) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-06-13 |