| NPI | 1033596572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MT MED-PHYS-LIC-132614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN pending) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 64000) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-02-29 |