| NPI | 1003847971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 9632) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA A73423) |
| 207Q00000X Family Medicine (Licence: CO 49138) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-07-11 |