| NPI | 1619998200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 34591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A66372) |
| 207Q00000X Family Medicine (Licence: CA A66372) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-12-18 |