| NPI | 1003838061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA a67854) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A67854) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-03-01 |