| NPI | 1417173071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OK 16489)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 16489)  | 
| Enumeration Date | 2007-04-18 | 
| Last Update Date | 2025-09-11 |