| NPI | 1992963649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 2121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 2121) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-05-26 |