| NPI | 1205829652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: OH 35.079742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-07-9742-R) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OH 35.079742) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-01-14 |