| NPI | 1265549554 |
|---|---|
| Doing Business As | |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WI 38531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 38531) |
| 208M00000X Hospitalist (Licence: WI 38531) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-06-01 |