| 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 |