| NPI | 1144250861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: OR MD21689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD21689) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-02-22 |