| NPI | 1083663009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD22733) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OR MD22733) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-07-21 |