| NPI | 1457422495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME md19891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A45804) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-03-13 |