NPI | 1689645798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: PA MD433098) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD433098) |
207Q00000X Family Medicine (Licence: PA MD433098) | |
207Q00000X Family Medicine (Licence: SC 20103) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2011-10-20 |