| NPI | 1326600537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101271437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101271437) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2026-05-28 |