| NPI | 1740522812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WA MD.MD.61283520) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OR MD210695) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-10-03 |