| NPI | 1972569887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A68673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A68673) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-09-06 |