| NPI | 1417187170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 2018-00010) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY 03850) |
| 208D00000X General Practice (Licence: CO 49490) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2025-01-06 |