| NPI | 1922273275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 54159-21) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A15163) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 54159-21) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A15163) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-12-27 |