| NPI | 1366470502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 19313) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 2013-01594) |
| 207R00000X Internal Medicine (Licence: OR MD21890) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-07-21 |