NPI | 1841343068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A69839) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A69839) |
207R00000X Internal Medicine (Licence: CA A69839) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A69839) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A69839) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2023-03-07 |