| NPI | 1457872764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A177136) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 34725) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-05-09 |