| NPI | 1578659280 |
|---|---|
| Former Name | MARY KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G42672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G42672) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |