| NPI | 1063579324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A66456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A66456) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2026-03-04 |