| NPI | 1073619722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A88475) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A88475) |
| 207Q00000X Family Medicine (Licence: OH 35088612) | |
| 207Q00000X Family Medicine (Licence: IL 036118511) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-05-29 |