| NPI | 1720312176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61529115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098360) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 60680) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2025-03-23 |