| NPI | 1942247325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME62784) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G52007) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-06-13 |