| NPI | 1740495563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD61190112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT185293) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-10-28 |