| NPI | 1356634109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 301492) |
| Additional Taxonomies | 208800000X Urology (Licence: NV 17340) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NV 17340) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-02-24 |