| NPI | 1922172659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.010733) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NM A-1009 94) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 34.010733) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-11-19 |