| NPI | 1184063240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A141496) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A141496) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA A141496) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A141496) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A141496) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA A141496) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-01-16 |