NPI | 1265695811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A109598) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A109598) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: UT 8185054-1205) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2021-08-11 |