| NPI | 1063736692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 32897) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CO 32897) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 32897) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 32897) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2019-05-15 |