| NPI | 1861842809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A150760) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A150760) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A150760) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA A150760) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-12-11 |