| NPI | 1518903822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A34591) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A34591) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-12-02 |