| NPI | 1821089095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 196118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G8366) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: AZ 35447) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G8366) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2025-01-08 |