| NPI | 1295887636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME96079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A120760) |
| 207Q00000X Family Medicine (Licence: VA 0101253295) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101253295) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-08-27 |