| NPI | 1780637207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX 01680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2037) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-01-08 |