| NPI | 1598917700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 20585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 12,296I) |
| 207Q00000X Family Medicine (Licence: PR 28,187R) | |
| 207Q00000X Family Medicine (Licence: PR 28,413R) | |
| 207Q00000X Family Medicine (Licence: PR 28,794R) | |
| 284300000X Special Hospital (Licence: PR 12,102I) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-05-09 |