| NPI | 1144277526 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A101303) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV LL1403) | 
| 207R00000X Internal Medicine (Licence: NV 11958) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 2312) | |
| Enumeration Date | 2006-05-30 | 
| Last Update Date | 2013-04-15 |