| NPI | 1871934869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A138328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 20044) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-04-26 |