| NPI | 1760460695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43872) |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: CO 43872) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |