| NPI | 1124687173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A181121) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A181121) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-07-22 |