NPI | 1154489904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: CA G58250) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA G58250) |
207Q00000X Family Medicine (Licence: CA G58250) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2014-01-13 |