| NPI | 1578714432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A11195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A11195) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2019-12-17 |