| NPI | 1063584324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 034852) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 034852) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-07-14 |