NPI | 1164665162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7120) |
Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX M7120) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2021-01-14 |