| NPI | 1568740983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A131553) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A131553) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116024127) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-02-04 |