| NPI | 1871744482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 14761) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: PR 14761) |
| 251V00000X Voluntary or Charitable (Licence: PR 14761) | |
| 261Q00000X Clinic/Center (Licence: PR 14761) | |
| 261QC1500X Clinic/Center, Community Health (Licence: PR 14761) | |
| 261QC1800X Clinic/Center, Corporate Health (Licence: PR 14761) | |
| 261QH0100X Clinic/Center, Health Services (Licence: PR 14761) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: PR 14761) | |
| 302R00000X Health Maintenance Organization (Licence: PR 14761) | |
| 305R00000X Preferred Provider Organization (Licence: PR 14761) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14761) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |