| NPI | 1689602393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 24132) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 24132) |
| 208D00000X General Practice (Licence: AZ 24132) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-01-27 |