| NPI | 1730184276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A38649) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A38649) |
| 207Q00000X Family Medicine (Licence: NY 148170) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-07-31 |