| NPI | 1740500289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX P3739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P3739) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-08-01 |