| NPI | 1073657367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A052640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A52640) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A052640) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-02-22 |