NPI | 1871038182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CO 225700000X) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2016-12-21 |