| NPI | 1003235235 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A143997)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A143997)  | 
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2022-12-16 |