| NPI | 1063404945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: SC MD15793) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: SC 15793) |
| 207R00000X Internal Medicine (Licence: SC 15793) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2014-07-14 |