| NPI | 1982799888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G56317) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G56317) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-10-25 |