| NPI | 1528128733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me86818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME86818) |
| 207P00000X Emergency Medicine (Licence: CA A64642) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-08-23 |