| NPI | 1124280268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: GA 65784) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 003029) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2025-04-29 |