| NPI | 1689877680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WV 3118) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IA 3950) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IA 3950) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-09-15 |