NPI | 1982720827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: GA 052323) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME113430) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2024-05-10 |