| NPI | 1053576801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A115520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.097172) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2018-09-12 |