| NPI | 1386844090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 063494) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207Q00000X Family Medicine (Licence: SC LL30129) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 063494) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2023-06-21 |