| NPI | 1578710489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101246061) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101246061) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2017-05-10 |