| NPI | 1619022233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G63040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G63040) |
| 208D00000X General Practice (Licence: CA G63040) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-12-14 |