| NPI | 1891054920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R9827) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX R9827) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD457691) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX R9827) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2023-03-23 |