| NPI | 1518155209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 16874) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16874) |
| 207Q00000X Family Medicine (Licence: PR 16874) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-01-10 |