| 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 |