NPI | 1972558005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00002023) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA op00002023) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2012-12-13 |