NPI | 1154627651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20A6824) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A6824) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2018-10-31 |