| NPI | 1992733638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD00034253) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00034253) |
| 207R00000X Internal Medicine (Licence: WA MD00034253) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-07-21 |