| NPI | 1134185739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN MD21539) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN MD21539) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2017-01-27 |