| NPI | 1396717013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 100716) |
| 207Q00000X Family Medicine (Licence: CO 53354) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-04-23 |