| NPI | 1598978959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OR MD26300) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR MD26300) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |