| NPI | 1629563622 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 66263) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 72333-20) | 
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: AZ 66263) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 72333-20) | |
| Enumeration Date | 2018-06-22 | 
| Last Update Date | 2023-09-26 |