| NPI | 1982773099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA CFE42592) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA CFE42592) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-01-20 |