| NPI | 1548412745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A113631) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-121643) |
| 207Q00000X Family Medicine (Licence: CA A113631) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-06-12 |