| NPI | 1063436277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME53684) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL ME53684) |
| 202C00000X Independent Medical Examiner (Licence: FL ME53684) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-02-28 |