| NPI | 1689672933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: IL 036108897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 69845-20) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: WI 69845) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2022-10-04 |