| NPI | 1508963596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VT 042.0013949) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 52047141205) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NY 162694-1) | |
| 208D00000X General Practice (Licence: CO DR.0073557) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-06-28 |