| NPI | 1255861399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 66448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 213663) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-02-15 |