| NPI | 1992873988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO 42799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 42799) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-09-27 |