| NPI | 1669490215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX G8104) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G8104) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G8104) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-07-20 |