| NPI | 1568621209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 52915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 138899) |
| 207Q00000X Family Medicine (Licence: ND 11259) | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2014-08-05 |