| NPI | 1962782896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A118057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A118057) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2021-11-19 |