| NPI | 1447364468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0428) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: TX J0428) |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: TX J0428) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-06-07 |