| NPI | 1144545534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 169450) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 169450) |
| 207P00000X Emergency Medicine (Licence: CA 169450) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2024-06-03 |