| NPI | 1679675391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13124) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C50592) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-10-30 |