| NPI | 1639154974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OR MD151051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD151051) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-10-29 |