| NPI | 1336276633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G41391) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G41391) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-06-09 |