| NPI | 1306870068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AR E-0539) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-0539) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-11-13 |