| NPI | 1417970831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 49625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94158) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN 49625) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-02-06 |