| NPI | 1760863013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 60646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 60646) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-07-03 |