| NPI | 1902256415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A156710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211994) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-05-30 |