| NPI | 1992743009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA G045373) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G045373) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-11-08 |