| NPI | 1154759355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A137139) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA D5388371) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2021-12-29 |