| NPI | 1457519613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WI 28626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 28626) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2019-06-13 |