| NPI | 1508861147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: HI MD24736) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.12209R) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2024-10-15 |