| NPI | 1346239811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 4698) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 4698) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-10-11 |