| NPI | 1689663361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 9410) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 9410) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2013-08-13 |