| NPI | 1972661601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MA 237944) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CT 044230) |
| 207R00000X Internal Medicine (Licence: MA 237944) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-04-30 |