| NPI | 1831179001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.087169) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G044689) |
| 207Q00000X Family Medicine (Licence: CA G044689) | |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2014-03-05 |