| NPI | 1598199028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101259339) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101259339) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2024-01-04 |