| NPI | 1952597346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 40441) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CO 40441) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-11-30 |