NPI | 1700864287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60698789) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 101139) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO 101139) | |
Enumeration Date | 2006-01-05 |
Last Update Date | 2023-12-08 |