| NPI | 1245216365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 36582) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 36582) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NC 36582) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-01-12 |