NPI | 1780838789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: UT 7152185-1204) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7152185-1204) |
208D00000X General Practice (Licence: UT 7152185-1204) | |
Enumeration Date | 2008-11-05 |
Last Update Date | 2022-04-27 |