| NPI | 1750313383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A80419) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A80419) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-03-16 |