NPI | 1780217463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NV PA2543) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 7550) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-04-08 |