| NPI | 1649387309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A64582) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A64582) | 
| Enumeration Date | 2006-08-25 | 
| Last Update Date | 2023-02-06 |