| NPI | 1275573560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA 334226) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G77564) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-12-01 |