NPI | 1609978261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R3F29) |
Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: MO R3F29) |
2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WI 22965-021) | |
2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX L8611) | |
2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
Enumeration Date | 2006-09-03 |
Last Update Date | 2007-07-08 |