| NPI | 1245292085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G078160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G71860) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-03-29 |