NPI | 1851693436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX S6386) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197947) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2023-03-07 |