NPI | 1700444205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 95011542) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 557443) |
207Q00000X Family Medicine (Licence: CA 95011542) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA 95011542) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 95011542) | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2019-05-31 |