| NPI | 1508998154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OK 3241) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 3241) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: OK 3241) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OK 3241) | |
| 261QH0100X Clinic/Center, Health Services (Licence: OK 3241) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 3241) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2026-07-21 |