| NPI | 1144310392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD21880) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD21880) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-09 |