| NPI | 1174508543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 76340) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MA 158208) |
| 207R00000X Internal Medicine (Licence: MA 158208) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2024-02-07 |