| NPI | 1699769596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 42170) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 42170) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-11-30 |