| NPI | 1710163274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MI 4301080032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301080032) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2021-12-17 |