| NPI | 1174613699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301029642) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MI 4301029642) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: MI 4301029642) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-04-18 |