| NPI | 1881742047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G47889) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA G47889) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2025-03-11 |