| NPI | 1649282534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G51830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A9636) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-09-01 |