| NPI | 1306133731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX T4011) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036-148418) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 148418) | |
| 208D00000X General Practice (Licence: GA 75992) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-05-02 |