| NPI | 1174852362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-094510) |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: FL ME108038) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2023-05-23 |