| NPI | 1780892927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: WI 53039) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53039-020) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2023-04-24 |