| 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) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A172471) | |
| 207P00000X Emergency Medicine (Licence: MI 5315077748) | |
| 208D00000X General Practice (Licence: CA A172471) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2026-09-15 |