| NPI | 1609913177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14993) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: PR 14993) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-08-15 |