| NPI | 1801897103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A408630) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A408630) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-03-04 |