| NPI | 1710393350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A155977) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A155977) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-05-10 |