| NPI | 1538389101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 1139) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 1139) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-06-16 |