| NPI | 1124006689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO23709) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OR DO23709) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2013-09-12 |