| NPI | 1861261950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: CA 70027) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 70027) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |