| NPI | 1861452534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD60364670) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ME 015816) |
| 207P00000X Emergency Medicine (Licence: MN 102269) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2013-09-27 |