NPI | 1558590059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 18935) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 18935) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2014-11-11 |