| NPI | 1487695441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 024822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C160828) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-02-14 |