| NPI | 1336532985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A177528) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101261174) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2022-10-31 |