| NPI | 1609202308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A14150) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA 20A14150) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2019-01-27 |