| NPI | 1235314907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101246132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 39020000X) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101246132) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A159625) | |
| 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: VA 0101246132) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2024-05-16 |