| NPI | 1437578598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 11899067-1204) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 02004744A) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-09-23 |