| NPI | 1972853190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A37526) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A37526) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |