| NPI | 1255595054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA CA20A13384) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012489) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-07-27 |