| NPI | 1487693701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA 20A10854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101007713) |
| 207Q00000X Family Medicine (Licence: CA 20A10854) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MI 5101007713) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-11-16 |