| NPI | 1912368838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A159630) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A159630) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2021-08-27 |