| NPI | 1922041102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G64361) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G64361) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-09-25 |