| NPI | 1922219898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 11321) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 11321) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-07-20 |