| NPI | 1558598193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL OS12912) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 259569-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-05-29 |