NPI | 1912921172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 11128) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 11128) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2016-12-19 |