| NPI | 1205955929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013595) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 5101013595) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-07-28 |