| NPI | 1700840352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 15520) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 15520) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-01-11 |