| NPI | 1447249966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: UT F7736) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX F7736) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2016-03-25 |