| NPI | 1194212258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX S8201) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 12454160-1205) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2021-09-29 |