| NPI | 1073810636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A14260) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA 14260) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2019-03-28 |