| NPI | 1649275488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME85064) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME85064) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2022-06-21 |