| NPI | 1114998549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A107368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2005019380) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0064958) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-05-22 |