| NPI | 1528183050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL LL853) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 33954) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL LL853) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-04-01 |