| NPI | 1548604101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A13495) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA 13495) |
| 208D00000X General Practice (Licence: CA 13495) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2025-07-16 |