| NPI | 1104895275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MT 10404) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 10404) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-06-04 |