| NPI | 1942464524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 224135) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MA 224135) |
| 207R00000X Internal Medicine (Licence: MA 224135) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2012-08-02 |