| NPI | 1194791178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A100202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-104581) |
| 207Q00000X Family Medicine (Licence: MO 2004025497) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-05-10 |