| NPI | 1285678433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: SC 51698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 51698) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-04-22 |