| NPI | 1265987721 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 68041) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A172471) | 
| 207P00000X Emergency Medicine (Licence: MI 5315077748) | |
| 207Q00000X Family Medicine (Licence: CA A172471) | |
| Enumeration Date | 2016-08-24 | 
| Last Update Date | 2025-06-30 |