| NPI | 1215015425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 39111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 2173) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 39111) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 104415) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-14 |