| NPI | 1427011428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD000038282) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TN 38282) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-12-04 |