NPI | 1700811163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX R5729) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 236338) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-08-02 |