| NPI | 1487853719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD152980) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OR MD152980) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2015-12-15 |