| NPI | 1730440744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 280449) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A14969) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2026-02-26 |