| NPI | 1932586344 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A145359)  | 
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A145359)  | 
| Enumeration Date | 2015-05-05 | 
| Last Update Date | 2022-01-04 |