| 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 |