| NPI | 1902828213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OH 35078808) |
| Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: OH 35078808) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: ID M-15067) | |
| 208D00000X General Practice (Licence: OH 35078808) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-04-14 |