| NPI | 1679775670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 16406) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 16406) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PR 16406) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |