| NPI | 1427271485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX G-7943) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX G7943) |
| 207Q00000X Family Medicine (Licence: TX G7943) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX G7943) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-10-21 |