| NPI | 1063664472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A41752) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A41752) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2011-01-26 |