| NPI | 1013027259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME92448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME92448) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-03-17 |