| NPI | 1750316998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60204449) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 47594421205) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR MD29332) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-03-30 |