| NPI | 1053940627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A178431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A178431) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-10-16 |