| NPI | 1497061386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 47730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A113695) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2022-07-21 |