| NPI | 1619069036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MN 61894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD26594) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-20 |