| NPI | 1346228996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 12820) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 12820) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-07-22 |