| NPI | 1518067396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G61875) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G61875) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-13 |