| NPI | 1235221946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: GA 055716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 055716) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-03-31 |