| NPI | 1013328343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A133713) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-07-19 |