| NPI | 1538252036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C152424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2004-0489) |
| 207P00000X Emergency Medicine (Licence: NM MD2004-0489) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-23 |