| NPI | 1336407402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 120302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a120302) |
| 207Q00000X Family Medicine (Licence: CT 050758) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-02-20 |