| NPI | 1023057528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G7891) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G7891) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-03-21 |