| NPI | 1932407632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A107472) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A107472) |
| 207R00000X Internal Medicine (Licence: CA A107472) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2026-04-23 |