| NPI | 1558483958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX G6492) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G6492) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-09-06 |