| NPI | 1841638491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OH 35.138442) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A136313) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-12-16 |