| NPI | 1932179793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 39861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 39861) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-01-28 |