| NPI | 1205814050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD18940) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME MD18940) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: ME MD18940) | |
| 207R00000X Internal Medicine (Licence: NY 227001) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2025-04-24 |