| NPI | 1548388077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2006028758) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO 2006028758) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-09-16 |