| NPI | 1679636997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NC 2002-01263) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2002-01263) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-12-18 |