| NPI | 1407204118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 74022) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 30365) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-10-27 |