| NPI | 1033153754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G78038) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G78038) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-08-31 |