| NPI | 1598787442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A93666) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-142025) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2025-01-08 |