| NPI | 1407809189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A83442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A83442) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-03-26 |