| NPI | 1740806975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A184558) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A184558) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-12-31 |