| NPI | 1083771224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A7572) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A7572) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-02-14 |