| NPI | 1508998154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OK 3241) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: OK 3241) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: OK 3241) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: OK 3241) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OK 3241) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OK 3241) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: OK 3241) | |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: OK 3241) | |
| 208D00000X General Practice (Licence: OK 3241) | |
| 261QC1500X Clinic/Center, Community Health (Licence: OK 3241) | |
| 261QH0100X Clinic/Center, Health Services (Licence: OK 3241) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: OK 3241) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 3241) | |
| 261QP3300X Clinic/Center, Pain (Licence: OK 3241) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: OK 3241) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-02-04 |