| NPI | 1508936907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 61080) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G80416) |
| 207Q00000X Family Medicine (Licence: CA G080416) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-03-07 |