| NPI | 1316930779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101281318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 34383) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-06-28 |