| NPI | 1508067307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX BP10036200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116018282) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-07-12 |