| NPI | 1912955097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CO DR.0026256) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 26256) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-05-03 |