NPI | 1508010539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D76537) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31196) |
207R00000X Internal Medicine (Licence: NM MD2022-0175) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: NM MD2022-0175) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D76537) | |
Enumeration Date | 2008-11-04 |
Last Update Date | 2023-12-11 |