| NPI | 1700148830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 56662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 56662) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 7127) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 72529-20) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-07-14 |