| NPI | 1790261824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171W00000X Contractor |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-08-20 |