| NPI | 1124252820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: WA MD60285551) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: TX N8625) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2013-10-31 |