| NPI | 1336197722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 18110) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NE 18110) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |