| NPI | 1811180946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150103) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME150103) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: ID M9336) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-12-17 |