| NPI | 1255690608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0102203627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203627) |
| 208D00000X General Practice (Licence: VA 0102203627) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-07-08 |