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 | 2025-01-05 |