| 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 |