| 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 |